| NPI | 1144580267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANJU MISRA Physician 732-296-9717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: NJ 25MA05267300) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |